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DR. JAMES TIMOTHY O'SHEA M.D.
NPI 1487912309
Emergency Medicine in Newark, NJ

Active since April 28, 2012PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
201 LYONS AVE, NEWARK, NJ 07112(973) 926-7000 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Timothy O'shea M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES TIMOTHY O'SHEA M.D. (NPI 1487912309) is an individual emergency medicine provider in Newark, New Jersey, licensed in Georgia (74234) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1487912309
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES TIMOTHY O'SHEACredential: M.D.
Location Address201 LYONS AVENewark, NJ 07112-2027
Mailing Address532 Boulevard SeAtlanta, GA 30312-3428
Phone(973) 926-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 28, 2012
Last NPPES UpdateJanuary 14, 2022
✔ NPI 1487912309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 74234
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
201 LYONS AVE, Newark, NJ 07112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Timothy O'shea M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678881620
PECOS Enrollment IDI20150924002579
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
84 services84 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
40 services39 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
22 services20 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH MICHAEL SPELLMAN M.D.
Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7960
DR. LARISSA SOPHIA DUDLEY M.D.
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Essex County (973) 926-6671
WAQAS BARI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (800) 843-2384
ERIKA YESENIA PINEDA MD
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
CASEY YEONJOO CHO APN
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-6938
KARLINA NGUYEN PA-C
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
GARY LAYTON DDS
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7642
DR. ALEXIS LORDI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 900-4855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James O'shea's NPI number?

The NPI number for James O'shea is 1487912309. It was assigned to this individual provider in the NPPES registry on April 28, 2012.

Where is James O'shea located?

James O'shea practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7000.

What is James O'shea's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James O'shea enrolled in Medicare?

Yes. James O'shea is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is James O'shea affiliated with any hospitals?

According to CMS data, James O'shea is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James O'shea was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.